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General NPI Number Information
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NPI Number | 1093562621
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Entity Type | Individual
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Provider Name | DAVID KULIMUISHI
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Gender | Male
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Dates
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Enumeration Date | 05/01/2024
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 1751 BORAH AVE E
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City | TWIN FALLS
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State | ID
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Zip | 83301-4909
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Country | US
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Telephone | 786-815-8277
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Fax |
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Provider Business Mailing Address
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Address Line | 1751 BORAH AVE E
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City | TWIN FALLS
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State | ID
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Zip | 83301-4909
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Country | US
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Telephone | 786-815-8277
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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